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EKSTENDED V-Y FLEP İLE BÜYÜK YÜZ DEFEKTLERİNİN REKONSTRÜKSİYONU

RECONSTRUCTION OF LARGE FACIAL DEFECTS WITH EXTENDED V-Y FLAP

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Aim: Many options have been reported in reconstruction of the facial defects such as skin grafting, local flaps and free flaps. The extended V-Y flap, a modified V-Y advancement flap, is very useful in closing defects following excision of large facial lesions. Herein, we presented our 6 years experien¬ce for covering of the large facial defects with extended V-Y flaps. Material and Method: This pro-cedure was applied to 27 patients with age ranging from 38 to 79 between 2001 and 2007. All operations were performed under local anaesthesia. The lesions were either squamous cell carcino-mas, basal cell carcinomas, malignant melanoma, trichilemmoma, seborrheic keratosis or actinic ke¬ratosis and they were localized in the malar area, infraorbital area, lateral nasal aspect, the zygoma- tic area and the forehead. The size of the defects ranged from 3 x 3 cm to 6 x 5, 5 cm. Results: All of the flaps were achieved suitable closure of defects. The functional and aesthetic results were satis-factory for patients, and no tumor recurrence was observed during the 9 to 17 months follow-up period. Conclusion: Extended V-Y flap can be used reliably for the reconstruction of large facial tis-sue defects.
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Abstract (Original Language): 
Amaç: Yüz defektleri rekonstrüksiyonunda cilt grefti, lokal flep ve serbest flep gibi birçok cerrahi tek¬nik tarif edilmiştir. V-Y ilerletme flebinin bir modifikasyonu olan ekstended V-Y flep yüzdeki büyük lez-yonların eksizyonunu takiben oluşan defekt onarımlarında çok faydalı bir fleptir. Çalışmamızda, bü¬yük yüz defektlerinin ekstended V-Y flep ile onarımında 6 yıllık tecrübemiz sunuldu. Gereç ve Yön¬tem: Teknik, 2001-2007 yılları arasında, yaşları 38-79 arasında olan 27 hastaya uygulandı. Tüm ameliyatlar lokal anestezi altında yapıldı. Lezyonlar yassı hücreli kanser, bazal hücreli kanser, malign melanoma, trişilemmal tümör, seboreik keratoz, aktinik keratoz olup bu lezyonlar; malar bölge, inf¬raorbital bölge, burun yan tarafı, zigoma ve alın bölgesinde idi. Defekt ebatları 3 x 3 cm ile 6 x 6,5 cm arasında değişmekte idi. Bulgular: Tüm fleplerde uygun bir defekt onarımı sağlandı. Hem fonk¬siyonel hem de estetik sonuçlar hastalar açısından memnun edici idi ve 9-17 aylık takip döneminde herhangi bir tümör rekürensi gözlenmedi. Sonuç: Ekstended V-Y flep yüzdeki büyük doku defektle-rinin rekonstrüksiyonunda güvenle kullanılabilir.
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  • 2
97-103
  • Turkish

REFERENCES

References: 

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